People with diabetes should always control their blood sugar levels. Better control of blood sugar level may improve symptoms of gastroparesis. Eating small and more frequent meals and soft foods may also help relieve some symptoms.
Medicines that may help include:
Cholinergic drugs, which act on acetylcholine nerve receptors
Metoclopramide, a medicine that helps empty the stomach
Serotonin antagonist drugs, which act on serotonin receptors
Other treatments may include:
Botulinum toxin (Botox) injected into the outlet of the stomach (pylorus)
Surgical procedure that creates an opening between the stomach and small intestine to allow food to move through the digestive tract more easily (gastroenterostomy)
Many treatments seem to provide only temporary benefit.
Michael M. Phillips, MD, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.